101902 DON HINDS FORD • INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cito f Cairinniel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101902
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/30/2018 00352042 New Battalion Chief Vehicle
DON HINDS FORD Fire Department
VENDOR 12610 FORD DRIVE SHIP 2 Civic Square . ;Z.... .‘".\
TO
TO Carmel, IN 46032-
FISHERS, IN 46038-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28867
QUANTITY UNIT OF MEASURE : . . DESCRIPTION. UNIT PRICE EXTENSION
Department 1120 Fund 102 Ambulance Capital Fund
Account 44-650.01
1 Each 2019 Ford Expedition SSV Max $41,900.00 . $41,900.00
Sub Total $41,900.00
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Send Invoice To: '''%.. '" t-ti:- �.
Fire Department �.d
2 Civic Square n=� N "
Carmel, IN 46032- ,AV
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $41,900.00
SHIPPING INSTRUCTIONS •A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
•C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL •
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 4_✓.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider -
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 101902 CLERK-TREASURER